| |||||
COUNTY OF SAN MATEO | |||||
HEALTH DEPARTMENT | |||||
DATE: |
June 11, 2007 | ||||
BOARD MEETING DATE: |
June 26,2007 | ||||
SPECIAL NOTICE/HEARING: |
None | ||||
VOTE REQUIRED: |
Majority | ||||
TO: |
Honorable Board of Supervisors | ||||
FROM: |
Charlene A. Silva, Director, Health Department | ||||
SUBJECT: |
Agreement with Addus HealthCare, Inc. | ||||
RECOMMENDATION: | |||||
Adopt a Resolution: | |||||
1. |
Authorizing the President of the In-Home Supportive Services Public Authority to execute an Agreement with Addus HealthCare, Inc., for the term July 1, 2007 through June 30, 2010 in the amount of $10,668,840 for the administration of contracted provider components of In-Home Supportive Services (IHSS); and | ||||
2. |
Authorizing the Director of Health or the Director's designee to execute contract amendments which modify the County's maximum fiscal obligation by no more than $25,000 (in aggregate) and/or modify the contract term and/or services so long as the modified term or services is/are within the current or revised fiscal provisions. | ||||
VISION ALIGNMENT: | |||||
Commitment: Ensure basic health and safety for all. | |||||
Goal 8: Help vulnerable people—the aged, disabled, mentally ill, at-risk youth and others—achieve a better quality of life. | |||||
This Agreement contributes to this commitment and goal by providing services throughout the County designed to assist individuals with the greatest needs to maintain their independence and dignity within the least restrictive setting possible. | |||||
Performance Measure: | |||||
Measure |
FY 2006-07 |
FY 2007-08 | |||
Percent of consumers indicating their quality of living situation has improved as a result of services received through the Public Authority |
96% |
96% | |||
BACKGROUND: | |||||
In September 1993 by ordinance of the San Mateo County Board of Supervisors, a Public Authority was established to administer the provider components of the IHSS program. The enabling ordinance designated the Board of Supervisors as the Governing Board of the Public Authority. There are approximately 2,500 senior and disabled clients receiving IHSS in San Mateo County. Services are delivered by both individual providers, who serve a majority of the clients, and a contract agency serving approximately 100 clients. Clients who are unable to hire, supervise or fire their own providers due to the type or severity of their disabilities are referred to the contractor for services. Contract services are reserved for the most at-risk clients who would otherwise need to be placed outside their home and thus these services are an integral part of our service delivery system. Contract services enable individuals to remain independent for as long as safely possible and avoid premature institutionalization. | |||||
DISCUSSION: | |||||
In December 2006 Aging and Adult Services (AAS), acting on behalf of the Public Authority, issued a Request for Proposals (RFP) for IHSS contract services for a three-year period beginning July 1, 2007. Three organizations submitted proposals in response to the RFP: AccentCare of CA, Inc., Addus HealthCare, Inc., and American CareQuest, Inc. A review committee made up of representatives from various Health Department divisions and a community-based agency evaluated the proposals. The committee reviewed each applicant’s experience, cost, and ability to comply with program requirements. Based on the criteria and the committee’s evaluation, Addus HealthCare, Inc., was selected to provide IHSS contract services for the three-year period. | |||||
Payment for services provided under this Agreement is dependent on the availability of federal, state and county revenues at the sharing ratios in existence as of the date of execution of this agreement. The current state-approved Maximum Allowable Contract Rate (MACR) for IHSS Contract Services is $19.02 per hour. In May 2006 AAS requested that the State increase the MACR from $19.02 to $19.54 per hour. Despite continued correspondence, this change request has yet to be approved. AAS has agreed to pay the contractor at a rate above the MACR in order to allow the contractor to pay its staff at a rate equivalent to the State’s rate for Independent Providers. | |||||
The contractor has assured compliance with the County's Contractor Employee Jury Service Ordinance, as well as all other contract provisions that are required by County ordinance and administrative memoranda, including but not limited to insurance, hold harmless, non-discrimination and equal benefits. County Counsel has reviewed and approved this Agreement and Resolution as to form. | |||||
FISCAL IMPACT: | |||||
The term of this Agreement is July 1, 2007 to June 30, 2010. The maximum hours that can be purchased under this Agreement each year are 182,000 at a fixed rate of $19.54 per hour for an annual total of $3,556,280. The maximum amount payable under the Agreement for the three-year term is not to exceed $10,668,840. State and Federal funds pay approximately 80.75% of the cost of this Agreement. The remaining 19.25% ($2,053,752) represents the required County obligation for the Agreement. Appropriation for the first year of this Agreement is included in the Public Authority’s FY 2007-08 Recommended Budget. | |||||
